Basics of Adrenal Insufficiency

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  • Опубліковано 4 сер 2023
  • Learn the clinical presentation, diagnostic evaluation, and management of adrenal
    insufficiency in this detailed video from endocrinologist Dr. Om Lakhani.
    This educational lecture covers key topics like:
    1. Recognizing the signs and symptoms of adrenal insufficiency - fatigue, nausea, weight loss,
    hyperpigmentation, hypotension, hypoglycemia, hyponatremia.
    2. Understanding the pathophysiology - impaired cortisol production from dysfunction of the
    hypothalamic-pituitary-adrenal axis.
    3. Diagnostic testing - baseline AM cortisol, ACTH stimulation test, DHEA-S, electrolytes,
    ACTH level.
    4. Treating adrenal crisis - IV hydrocortisone, saline, glucose.
    5. Replacement therapy - oral hydrocortisone, prednisone, fludrocortisone.
    6. Differentiating primary, secondary, tertiary adrenal insufficiency.
    7. Managing special cases like Sheehan's syndrome and exogenous Cushing's syndrome
    leading to adrenal suppression.
    This in-depth tutorial from Dr. Lakhani is valuable for phvsicians, residents, medical
    students, and allied health professionals managing adrenal disorders

КОМЕНТАРІ • 10

  • @echocardiographybysameerma6845
    @echocardiographybysameerma6845 10 місяців тому +1

    Great sir

  • @melvingonsalves4836
    @melvingonsalves4836 5 місяців тому +1

    Extremely well explained by Dr Om Lakhani. Everything clarified step by step.🙏

  • @ajkrules1
    @ajkrules1 10 місяців тому +1

    This talk was quite refreshing
    Points to be noted
    DHEAS ratio for diagnosing adrenal insufficiency early
    Potassium can be low in secondary adrenal insufficiency.

  • @qamerkramet4562
    @qamerkramet4562 День тому +1

    Sir please make video on perioperative management of diabetes
    And diabetes in pregnancy

    • @EndocrinologyIndia
      @EndocrinologyIndia  19 годин тому

      Sure

    • @qamerkramet4562
      @qamerkramet4562 15 годин тому

      @@EndocrinologyIndia luv u sir from pakistsn.. .
      One more ..combinateion therapy insulin with oAD..thnku soo much sir for response.. waiting for lectures
      Please also share best book for endocrinolgy.. im currently readinh secrets of endo..

  • @mohamedalfahad268
    @mohamedalfahad268 10 місяців тому +1

    Thanks alot doctor 🙏

  • @balasundaram7781
    @balasundaram7781 5 місяців тому +1

    Thank you sir it's 👍❤ loved it
    I have one dowt
    If we given hydrocortisone in emergency when suspecting adrenal insufficiency before taking sample
    How to proceed with sample interpretation to investigate adrenal insufficiency ?

    • @EndocrinologyIndia
      @EndocrinologyIndia  5 місяців тому +1

      Take a sample before giving hydrocortisone
      If it is already given- then send DHEAS rather than cortisol